National Provider Identifier
Abigail Stark
Abigail Stark is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Lansing, NY and a listed phone number of (607) 592-5977.
Profile Overview
- NPI
- 1144690959
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- October 06, 2015
- Last Updated
- September 19, 2019
Practice Location
- 45 Atwater RD
- Lansing, NY 14882
Phone: (607) 592-5977
Mailing Address
- 45 Atwater RD
- Lansing, NY 14882-9096
Specialties
- Clinical Social Worker (1041C0700X)
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1144690959
- Entity Type
- Individual
- Last Name
- Stark
- First Name
- Abigail
- Mailing Street Address
- 45 Atwater RD
- Mailing City
- Lansing
- Mailing State
- NY
- Mailing ZIP Code
- 14882-9096
- Mailing Country
- US
- Mailing Phone
- (607) 592-5977
- Practice Street Address
- 45 Atwater RD
- Practice City
- Lansing
- Practice State
- NY
- Practice ZIP Code
- 14882
- Practice Country
- US
- Practice Phone
- (607) 592-5977
- Enumeration Date
- October 06, 2015
- Last Updated
- September 19, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Mental Health Counselor (101YM0800X)